ENERGY ASSESSMENT FORM
AS BUILT DETAILS
I PROJECT INFORMATION
ENERGY ASSESSOR: CONTACT:
II All new dwellings in England and Wales now require a satisfactory Energy Assessment and Energy Performance
Certificate (EPC) before a completion certificate can be issued under the Building Regulations for the dwelling.
The Energy Performance Certificate should be displayed inside the dwelling within five days of completion of the
work and before the dwelling is occupied. In order to produce the Energy Assessment and EPC the energy
assessor requires clarification of details carried out on site that deviate from the plans or any other relevant
Your Energy Assessor for this project is Mid Suffolk Building Control and the Surveyor working on the assessment is
indicated at the top of this form should you require any further information. In order for the Surveyor to carry out an
Energy Assessment and issue an Energy Performance Certificate for the dwelling, please fill out this form for each
dwelling completed on site and return to Mid Suffolk Building Control at the address below.
It is important that this form is returned before the Energy Performance Certificate can be produced and
issued. You will not receive a Completion Certificate under Building Regulations until these documents
have been produced and accepted by your Building Control Body.
It should also be noted that the Energy Performance Certificate cannot be produced without an official
address for the dwelling. Please contact the Officer responsible for Street Naming and Numbering at the
Local Authority under which the dwelling falls now to arrange naming/numbering of the dwelling as this
process can take up to six weeks to complete.
1 DETAILS IN ACCORDANCE WITH DESIGN
Has work to the dwelling(s) been completed as detailed at design stage fully in accordance with the Yes No
drawings and specification, including all products as specified?
(eg wall, roof & floor build up including insulation type, thickness etc.
If no, please provide full details of any variations from plans/specifications:
2 SPECIAL INSTALLATIONS
Have any additional special measures been in installed that are not identified on plan? Yes No
(eg Photovoltaic Cells, Solar Hot Water, Ground Source Heat Pump etc.)
If yes, please confirm all measures installed:
Mid Suffolk Building Control
131 High Street Telephone: 01449 724510 Minicom: 01449 724626
IPSWICH Facsimile: 01449 724514 Email: firstname.lastname@example.org
3 HEATING & HOT WATER SYSTEM(S)
Please confirm the boiler manufacturer/model/model no and fuel type, how the system is controlled, the type and
amount of heat emmittors (radiators etc.), the size of cylinder (litre) and thickness & type of insulation around
cylinder or any details that apply where non-conventional system is used.
Please also confirm if any secondary heating is installed including the appliance type:
State number of internal fixed light fittings:
State number of those internal fixed light fittings that are dedicated energy efficient:
5 THERMAL PERFORMANCE/AIR PERMEABILITY
Air permeability result (please provide copy of certificate):
Have the thermal bridging details shown on plan been built on site: Yes No
6 ADDRESS/COMPLETION DETAILS
Please provide the full postage address of the dwelling(s) including postcode and relate the address(es) to the plot numbers
NEW ADDRESS: PLOT ADDRESS:
Date of completion/handover of dwellings.
Signature: Print Name:
On behalf of:
Welcome Witamy Sveiki MULTI-PLOT SITES
If you would like this document in another language or format, or if you require
the services of an interpreter, please contact us. For sites with multiple plots, please complete
Jeżeli chcieliby Państwo otrzymać ten document w innym języku lub w innym a form for each plot completed. Please
Formacie albo jeżeli potrzebna jest pomoc tłumacza, to prosimy o kontakt z nami. photocopy this sheet or contact us to request
more if more sheets are required.
Jei pageidaujate gauti šį dokumentą kita kalba ar kitu formatu, arba jei jums
Reikia vertėjo paslaugų, kreipkitės į mus.
0845 6 066 067
www.midsuffolk.gov.uk SAP3 ISSUE 1 AUGUST 2008